AI Article Synopsis

  • The study focused on oral health and hygiene among home care clients aged 75 and older, exploring the link between their functional abilities and oral health.
  • The research involved structured interviews and clinical examinations of 269 participants in Finland, revealing that many were dependent on assistance for daily activities and a significant portion had poor oral health, including high rates of dental plaque and tooth loss.
  • Results indicated that better functional ability correlated with lower levels of dental plaque and bleeding, highlighting that reduced functional ability is a key factor contributing to poor oral health in this population.

Article Abstract

Purpose: To describe oral health and hygiene in old home care clients and investigate how functional ability was associated with them.

Materials And Methods: This study employed part of the baseline data of a multidisciplinary intervention study of 269 home care clients aged ≥75 years, living in Eastern and Central Finland. Structured interviews were used to measure ability to function in activities of daily living (ADL), instrumental activities of daily living (IADL), comorbidity (functional comorbidity index, FCI), depression (geriatric depression scale, GDS-15), cognitive function (mini-mental state examination, MMSE), nutritional status (mini nutritional assessment, MNA) and numbers of prescription drugs used. Clinical oral examination was included.

Results: The majority of participants were at least moderately dependent on support for ADL. Of the examined, 46% were edentulous and average number of teeth was 8.4. Dental plaque in ≥ 20% of teeth present was detected in 74%, bleeding on probing in ≥ 25% of teeth examined in 75%, and caries in 30% of the dentate participants. In multivariate analyses, better functional ability (ADL) was statistically significantly associated with lower occurrence of dental plaque in ≥ 20% of teeth present. Better functional ability (ADL) and higher number of teeth were associated with lower occurrence of bleeding on probing in ≥ 25% of teeth examined and higher number of teeth with plaque with higher occurrence of bleeding on probing.

Conclusion: Impaired functional ability is an important determinant of poor oral health and hygiene among old home care clients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11654490PMC
http://dx.doi.org/10.3290/j.ohpd.a43353DOI Listing

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